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Annals of Vascular Surgery

Laura T Boitano, Emel A Ergul, Adam Tanious, James C Iannuzzi, Michol A Cooper, David H Stone, W Darrin Clouse, Mark F Conrad
OBJECTIVES: Historically, a history of neck radiation has been consider an anatomic risk factor for poor outcomes after carotid endarterectomy (CEA). However, this is based on small and primarily single institution reports with few comparative series. This study uses a regional quality database to compare perioperative outcomes of CEA in patients with and without a history of neck radiation (RAD and NORAD, respectively). METHODS: The Vascular Study Group of New England (VSGNE) database was queried for all CEA from 2003-2017...
September 14, 2018: Annals of Vascular Surgery
Gregory A Magee, Matthew G Bartley, Anastasia Plotkin, Jeniann A Yi, Natalia O Glebova
Perforation of inferior vena cava (IVC) filter struts is a common incidental finding on postoperative computed tomography (CT) scans that is not associated with bleeding or major complications. However, in rare circumstances it can be associated with hemorrhage requiring immediate removal. We present a case of a 62-year-old man who developed abdominal pain and right lower extremity weakness two weeks after treatment of a pulmonary embolism with IVC filter placement and anticoagulation. A CT scan revealed a large right-sided retroperitoneal hematoma with active extravasation from the IVC filter struts that had perforated the IVC wall...
September 12, 2018: Annals of Vascular Surgery
Panagiotis G Theodoridis, Dimitrios N Staramos, Nikolaos Ptochis, Constantinos H Davos, Ilias Dodos, Nikolaos Iatrou, Anastasios G Potouridis, Vasilios Argitis, Pavlos Antoniadis, Konstantinos Dervisis
Although endovascular aneurysm repair (EVAR) is a feasible option for high risk patients resulting in lower perioperative mortality when compared with open repair, the need for re-intervention and long-term follow-up affects its use. The aim of the current report is to present two cases of patients with Type IIIa endoleak from limb disconnection (one patient with double-bilateral endoleak) combined with a late Type II endoleak and symptomatic sac growth treated in our department. We also perform a literature review about Type III endoleaks and their treatment options...
September 12, 2018: Annals of Vascular Surgery
Jacob Saied Ghannam, Jacob Bundy, Ravi N Srinivasa, Nishant Patel, Michael Cline, Jeffrey Forris Beecham Chick
Endovascular treatment of malignant intrahepatic inferior vena cava (IVC) stenosis involves venoplasty and stenting. Intravascular migration is a complication associated with stents. This technical report describes the retrieval of migrated intracardiac Gianturco Z-stents using rigid endobronchial forceps.
September 12, 2018: Annals of Vascular Surgery
Christos Argyriou, Georgios Drosos, Stylianos Tottas, Kalliopi-Maria Tasopoulou, Ioannis Kougioumtzis, George S Georgiadis
PURPOSE: Osteochondromas or exostoses are the most common benign tumours of the bone, appearing during the growth period. The involvement of lower extremities is common, particularly metaphyseal structures of the femur and humerus and around the knee joint. However, the incidence of the development of the tumor at the proximal fibula is rare. Most common signs and symptoms of the disease are pain, pulsatile mass, limb swelling, neurologic sequalae, bursa formation with subsequent bursitis and impairment of the developmental growth...
September 12, 2018: Annals of Vascular Surgery
Hoi Tung Lam, Joy Melody Kwong, Pak Lun Lam, Wai Lok Yeung, Yiu Che Chan
PURPOSE: Embolic stroke is a formidable complication of transcatheter aortic valve implantation (TAVI) and thoracic endovascular aortic repair (TEVAR). Mechanical strategies to reduce the risk of ischemic embolic lesions include embolic protection devices (EPD) and carbon dioxide flushing (CDF). This study aims to assess the efficacy for EPD and CDF uses in TAVI and TEVAR. METHODS: A literature review was performed according to Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA)...
September 12, 2018: Annals of Vascular Surgery
Anastasia Plotkin, Matthew G Bartley, Kathryn E Bowser, Jeniann A Yi, Gregory A Magee
The search for etiology of stroke in a young patient may present a diagnostic challenge. In rare cases, chronic trauma to the carotid artery may be the cause of cerebral thromboembolic events. The hyoid bone lies in close proximity to the carotid artery bifurcation, and anatomic variants have been implicated in carotid compression, stenosis, dissection, and pseudoaneurysm. We report a case of recurrent strokes in a 32 year-old woman due to an elongated hyoid bone causing thrombus formation in her right internal carotid artery (ICA) resulting in recurrent embolic strokes confirmed on diffusion-weighted magnetic resonance imaging (MRI)...
September 12, 2018: Annals of Vascular Surgery
Rami O Tadros, C Y Maximilian Png, Ignatius H Lau, Ageliki G Vouyouka, Lucia Qian, Michael L Marin, Peter L Faries
OBJECTIVE: This study aims to investigate the risk factors for and appropriately categorize the various types of vascular surgery readmissions. METHODS: 972 patients were retrospectively reviewed. Readmissions were classified into three separate groups: Readmissions that occurred between 0-30 days (30-Day readmissions), 31-90 days (3-Month readmissions) and 91-365 days (1-Year readmissions). Each readmission was then assigned to one of four categories based upon whether they were related to the index procedure and whether they were planned...
September 12, 2018: Annals of Vascular Surgery
Jung Hee Kim, Jong Hyun Baek
BACKGROUND: Pseudo-Meigs syndrome is an unusual condition involving pelvic tumors, excluding ovarian fibroma, and is associated with ascites and hydrothorax. Pseudo-Meigs syndrome originating from uterine leiomyoma is an even rarer condition. Intravenous leiomyomatosis originating from uterine tumors, which extend from the inferior vena cava to the right heart chambers, is also extremely rare. CASE REPORT: This report presents an extremely rare case of intravenous leiomyomatosis with intracardiac extension accompanied by Pseudo-Meigs syndrome caused by uterine leiomyoma...
September 11, 2018: Annals of Vascular Surgery
Senhao Jia, Hongpeng Zhang, Guoyi Sun, Yangyang Ge, Lijun Wang, Wei Guo
Post-dissection aneurysm is an indication for intervention due to high risk of rupture. However, the reconstruction of visceral branches involved in this disease, especially which are perfused by false lumen is a tough and challenging task. We here describe a case of successful total endovascular repair via retrograde reconstruction of the left renal artery through the false lumen of a post-dissection thoracoabdominal aortic aneurysm (pdTAAA).
September 11, 2018: Annals of Vascular Surgery
Tanner I Kim, Timur P Sarac, Kristine C Orion
INTRODUCTION: Venous thoracic outlet syndrome (vTOS) is a rare disease with no defined guidelines regarding treatment. Patients with first rib resection and anterior scalenectomy (FRRS) often have residual subclavian vein stenosis. The aim of this study was to evaluate the utility of intravascular ultrasound (IVUS) in the treatment of vTOS patients who have been surgically decompressed with FRRS. METHODS: Patients treated with venography post-FRRS for vTOS during 2015-2017 were retrospectively reviewed...
September 11, 2018: Annals of Vascular Surgery
Qiu Peng, Zhu Huagang
Splenic artery aneurysm with systemic lupus erythematosus is rare but serious. We report a case of a 45-year-old female with systemic lupus erythematosus who presented with a splenic artery aneurysm of anomalous origin from the superior mesenteric artery. This is the first time to report of using an endovascular approach to treat splenic artery aneurysm combined with systemic lupus erythematosus. Endovascular repair the of aneurysm was conducted using a covered stent and multiple coils to exclude both the aneurysm and total splenic artery embolization for treating thrombocytopenia, and this approach was determined to be safe and effective for yielding short-term results...
September 11, 2018: Annals of Vascular Surgery
Insoo Park, Min Ho Jeong, Chan Jin Park, Woo Il Park, Dong Wook Park, Jin Hyun Joh
BACKGROUND: Cyanoacrylate closure for the treatment of incompetent saphenous veins does not cause thermal damage and demonstrates satisfactory outcomes with rapid recovery. However, the characteristics of phlebitis-like abnormal reaction (PLAR), the most common adverse event after cyanoacrylate closure, have not been clarified. Moreover, it differs from typical phlebitis after thermal ablation. The objective of our study is to investigate the clinical features of PLAR after cyanoacrylate closure and to report its management...
September 11, 2018: Annals of Vascular Surgery
Peiman Habibollahi, Mark P Mantel, Trish Rosenberry, David B Leeser, Timothy W I Clark
PURPOSE: To evaluate outcomes and patency of arteriovenous grafts (AVGs) created using Gore hybrid vascular grafts in hemodialysis patients with limited venous outflow or challenging anatomy. MATERIALS AND METHODS: A retrospective review was performed in two academic centers of all patients between July 2013 and December 2016 who underwent surgical AVG creation using a Gore hybrid vascular graft in a brachial artery to axillary configuration. Patient characteristics and co-morbidities as well as graft patency, function and subsequent need for percutaneous interventions were recorded...
September 11, 2018: Annals of Vascular Surgery
Nathan Belkin, Benjamin M Jackson, Paul J Foley, Scott M Damrauer, Venkat Kalapatapu, Michael A Golden, Ronald M Fairman, Rachel R Kelz, Grace J Wang
BACKGROUND: Length of stay (LOS) is a commonly used metric to optimize value in medical care. While pathways have been developed for some procedures in vascular surgery to reduce length of stay (LOS), they do not yet exist for TEVAR. The purpose of this study is to identify and define the risk factors for prolonged LOS in patients undergoing TEVAR to facilitate pathway development. METHODS: We included TEVAR patients in the National Surgical Quality Improvement Program (ACS-NSQIP) database from 2005-2015...
September 11, 2018: Annals of Vascular Surgery
Patricia Yau, Yu Xia, Saadat Shariff, William A Jakobleff, Stephen Forest, Evan C Lipsitz, Larry A Scher, Karan Garg
OBJECTIVE: Extracorporeal membrane oxygenation (ECMO) is an important life-saving modality for patients with cardiopulmonary failure. Vascular complications, including clinically significant limb ischemia, may occur as a result of femoral artery cannulation for venoarterial (VA) ECMO. This study examines our institutional experience with femoral VA ECMO and the development of ipsilateral limb ischemia. METHODS: We performed a retrospective review of all consecutive patients undergoing femoral VA ECMO between 2011 and 2016...
September 11, 2018: Annals of Vascular Surgery
Monica S O'Brien-Irr, Maciej L Dryjski, H Hasan Dosluoglu, Sherif Shalaby, Gregory Cherr, Mariel Rivero, Dimitrios Kuoduomas, Linda M Harris
OBJECTIVE: To evaluate outcomes following lower extremity revascularization for critical limb ischemia with tissue loss in patients with chronic immune mediated inflammatory disease. METHODS: A retrospective medical record review of all lower extremity revascularization for critical limb ischemia with tissue loss at a University affiliated hospital over a 3 year period was completed for demographics, co-morbidities, lower extremity revascularization indication, angiogram results, complications, mortality, limb salvage and re-intervention...
September 11, 2018: Annals of Vascular Surgery
Gabriel-Cristian Inaraja-Pérez, María Júlvez-Blancas
OBJECTIVE: Our primary objective was to test if the C-D-C is also applicable for the assessment of carotid surgery and how well it correlates with patient prognosis in the mid-term follow-up. METHODS: From January 2011 to March 2014, a total of 248 consecutive open surgical carotid revascularization procedures were performed at one academic institution. All patients, symptomatic and asymptomatic, had a high-grade (>70%) stenosis and were operated on under general anesthesia...
September 11, 2018: Annals of Vascular Surgery
Stephen J Raulli, Thomas W Cheng, Alik Farber, Mohammad H Eslami, Jeffrey A Kalish, Douglas W Jones, Denis V Rybin, Matthew Nuhn, Amitabh Guatam, Jeffrey J Siracuse
OBJECTIVES: There is conflicting data about the effect of heparin use on perioperative outcomes during upper extremity arteriovenous (AV) access creation. Our goal was to assess the effect of the use and degree of intraoperative heparin on perioperative outcomes after AV access creation. METHODS: All upper extremity AV access cases performed at a tertiary academic medical center between 2014 and 2017 were reviewed. Patient and procedural details including intraoperative heparin use and dosing as well as protamine use was analyzed...
September 11, 2018: Annals of Vascular Surgery
Jordan R Stern, Danielle E Cafasso, Peter H Connolly, Sharif H Ellozy, Darren B Schneider, Andrew J Meltzer
INTRODUCTION: and Objectives: Retrograde arterial access (RA) of the popliteal, tibial or pedal arteries may facilitate endovascular treatment of complex infrainguinal lesions in patients with critical limb ischemia (CLI). Here, we assess the safety and efficacy of this technique. METHODS: A retrospective review of prospectively collected institutional data (consecutive M2S entries) was performed to identify patients with CLI undergoing peripheral vascular intervention from February, 2012 through December, 2017...
September 11, 2018: Annals of Vascular Surgery
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